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06/29/2010 12:04 FAX 8132699902 PERMITS -R -US Z001/001 , d CERTIFICATE OF LIABILITY INSURANCE DATEexwoorr"") 03/122010 [ - THIS CERTIFICATION 1S ISSUED AS A MATTER OF INFORMATION MARSH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 100 N. TRYON STREET , SUITE 3200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CHARLOTTE, NC 2820 • ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, FAX (704) 374 -8500 . 47095 -CASUA -ONLY -10.11 Uoena FL ,LHC INSURERS AFFORDING COVERAGE NAIC 0 INSURED INSURERA S I Lowe's Companies, Inc. _ and Subeldlarles INSURER& National Union Fire In Co Pittsburgh PA 19446 PO Box 1000 Mooresville, NC 28115 INSURER a New Hampshire Insurance Company 23841 INSURER D; Illinois National Ins Co 23817 iNsuRER EI IIIInais Union Insurance Co 27960 COVERAGES . THE POLICIES OF )NSURAN.:E LISTED BELOW HAVE SEEN 19SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. - 1401WITHSTANDING ANY REQI IIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERI AIN, THE INSURANCE AFFORDED EIY THE POLICIES DEBCRIeEO HEREIN 16 SUBJECT TO ALL THE TERMS, OCCLUSIONS AND � OF SUCH POLICIE >. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1e4 1 i POLICY EFFECTNE P OLICY E MPI ATIO LL7ar��r{,u�+;.J��y:,, TYPE OF INSURANCE POLICY NUMBER UNITS DATE IMMIOCMWYI DAVI (MMroyry errl Pry EACH OccuRRENcE $ - A X COMMERCIAL CLAW M GENERAL IABILJTY Self- Insured 04/01/2010 04/01/2011 vR ES ooac E ytmncd $ �- CLAW L OCCUR MED t.xP MY nonperson) $ - -• PERSONAL a ACV INJURY $ GENERAL AGGRE:GATE $ • GENERAL AGGREGATE LIMB , PPLIES PER POLICY T J6C�T i LOC PRDDUCTa.COMPIOP AUTOMOBILE LIABILITY COMS1N!O smote UMn $ 5,000,000 B X ANY AUTO CA6847601 (AOS) 04/012010 04101/2011 lee widow C ' ALL OWNED AUTOS CAB647502 (MA) 04/0112010 04/01/2011 BODILY INJURY $ -' 9 scHeoULEO CA6647503 (VA) 04/01/2010 04/01 /2011 per weal) HIRED AUTOS BODILY INJURY $ ' NON.OMMM AUTOS (Per aeddenl) (� DAMAGE $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ N OTHER THAN EA ACC S • AUTO ONLY: AOa $ excess/ UMBRELLA IJAe1Ln B I X • — EACJ/ OCCURRENCE $ 6,000,000 , OCCUR c VMS MADE 9E27471705 04/012010 04/01/2011 A GGREGATE $ 5,000.000 • DEDUCTIBLE , ... $ -- , RETENTION 1 WORKER COMPENSATION AND $ . ' EMPLOYERS' LIABI NERIEkECLr NE Y/N WCO20342261 (AOS) 04/01/2010 04/01/2011 ; L. A C H A ` OE � a ; D OFFICER/MEMBER EXCLUDED? WCl>20342252 (Wl) 04/01/2010 04/01/2011 L. FAge ACGDENi $ 2,000,000 (�Ms��d�s hh�� yea, EL. DISEASE • POUCY N EL. DISEASE EA EMPLOYEE $ 2,000,000' SPE;CIALNV19 I bMoa J LIMIT $ 2,ODD,D00 B ! OTHER EXCESS OF XWC4880417 04/01/2010 04/01/2011 WC:Staf/EL:$3rn11; xs $2m11 SIR 1 E TX Employers XS Indemnity TNSC46242531 04/01/2010 04/01/2011 $BmII EeOcc/AAD: xs $2m11 SIR I i oESCRIPTlON OF OPERATIONSILOCATIOI rSNE/ICLS81ExCIJJSI0N5 ADDED BY ENDORSEMeNTIEpecIAL PRoingioNs , Lowe's Home Centers. Inc. le a nal nod Insured under the oapUoned policies. Fiends Contractor's License No. CQC1508417, Peter Anthony Cetera 111, Certified General Contractor. Florida Contra *ors License No. CCC1326924, Peter Anthony Cafaro III. Certified Roofing Contractor. (Please see Page 2 for adtllbonal • informetton.) CERTIFICATE HOLDER ATL•001786424 - 25 CANCELLATION SNOULD ANY OF THE ABOY6 DESCRIBED POLICIMI BE CANCELLED BEFORE TIE • • CITY OF ZEPHYHILLS EY.PIRATION DATE TIIEReOP, THE IE6NNV INSURER MAIL! ENDEAVOR TO MAIL • 5 • 335 8TH STREET 30 DATE wRrrry NOTICE TO THE CERTIFICATE HOLDER NAMED TO The LEFT, ' ZEPHYRHILL9, FL 3354) . BUT FAILURE TO 00 510 SMALL IMPOSE NO OBLIGATION OR uASILITY OF ANY tom UPON THE INSURER, ITS• AGENTS OR REPRSSSNTATNIS. • • - qq mlR1SbIG Q Mole OG Dien Bentley ACDRD 25 (21)09/0i) - "_ " - -�'_ �_� " _ _ — ®1898 - 2D09 ACORD CORPORATION. All Monte Reserved The ACORO name and logo ere re0latered marks of ACORD